A nurse is performing a dietary assessment for a client. Which of the following questions should the nurse ask when assessing the client's dietary acculturation?
"What questions do you have about reading food labels?”
"Do you have special customs that you follow for meals?”
"Are there any foods that you are allergic to?"
"How do you feel about your current body weight”
The Correct Answer is B
Rationale:
A. "What questions do you have about reading food labels?": This question assesses nutrition literacy rather than dietary acculturation. It focuses on understanding nutritional information, not cultural food practices or adaptations.
B. "Do you have special customs that you follow for meals?": This question directly addresses dietary acculturation by exploring cultural or traditional food practices and meal patterns. It helps the nurse understand how the client’s cultural background influences their diet and eating behaviors.
C. "Are there any foods that you are allergic to?": This question assesses food safety and potential allergens, not cultural or acculturation aspects of the diet.
D. "How do you feel about your current body weight?": This question addresses body image and personal perception, which may influence dietary choices but does not provide information about cultural or acculturation influences on diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. Osteoarthritis: Osteoarthritis primarily affects joints and mobility and does not directly increase the risk of developing heart failure. While limited activity could indirectly affect cardiovascular health, it is not considered a primary risk factor.
B. Hypotension: Low blood pressure reduces cardiac workload and is generally not a risk factor for heart failure. In fact, chronic hypotension is less likely to contribute to the pathophysiology of heart failure compared with hypertension.
C. Diabetes mellitus: Diabetes contributes to heart failure risk through mechanisms such as accelerated atherosclerosis, myocardial fibrosis, and microvascular damage. Hyperglycemia and insulin resistance increase the likelihood of developing cardiac dysfunction over time.
D. Alcohol use disorder: Chronic excessive alcohol intake can lead to alcoholic cardiomyopathy, which weakens the heart muscle and increases the risk of developing heart failure. It also contributes to hypertension and arrhythmias, further elevating risk.
E. Sleep apnea: Obstructive sleep apnea causes intermittent hypoxia, sympathetic nervous system activation, and increased cardiac workload. These changes increase the risk of developing hypertension, left ventricular hypertrophy, and eventually heart failure.
Correct Answer is D
Explanation
Rationale:
A. Provide 60 mL (2 oz) of fluid intake every 5 min.: Following gastric bypass surgery, the stomach pouch is very small and cannot tolerate large or frequent volumes. Giving 60 mL every 5 minutes places the client at high risk for nausea, vomiting, dumping syndrome, and anastomotic complications. Fluid intake must be introduced slowly in small sips.
B. Ambulate the client 48 hr after the procedure.: Early ambulation is essential to prevent postoperative complications such as atelectasis, venous thromboembolism, and delayed return of bowel function. Waiting 48 hours is too long; clients should begin ambulating on the day of surgery or within the first 24 hours to promote circulation.
C. Provide a soft diet on the first postoperative day.: After gastric bypass surgery, the digestive system needs time to heal and cannot tolerate solid or semi-solid foods. Clients begin with clear liquids and progress gradually to pureed, soft, and then solid diets over several weeks.
D. Measure and compare abdominal girth daily.: Monitoring abdominal girth helps detect postoperative complications such as internal bleeding, leaks, or ileus, which may present with distention or increased abdominal size. Regular measurement provides early recognition of changes that require prompt intervention.
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